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Closed trans-intersphincteric fistulotomy: a new modified sphincter-sparing technique for high transsphincteric anal fistula.
Front Surg
December 2024
Department of Anorectal Diseases, Shanghai Baoshan District Integrated Traditional Chinese and Western Medicine Hospital, Shanghai, China.
Background: The main goals of surgery for fistula-in-ano are to completely resolve the condition and maintain optimal anal function. Effective management of the internal opening during and proper postoperative drainage of the intersphincter plane are crucial for achieving successful outcomes. This study evaluated the clinical efficacy of a novel sphincter-sparing technique for treating high transsphincteric anal fistula (HTAF).
View Article and Find Full Text PDFHigh complex anal fistula managed by the modified transanal opening of the intersphincteric space the inter-sphincteric approach: A case report.
World J Radiol
October 2024
Anorectal Disease Center, Jiangsu Province traditional Chinese Medicine Innovation Center for Anorectal Disease, Nanjing 211000, Jiangsu Province, China.
Article Synopsis
- High complex anal fistulas are challenging to treat due to their location above the deep external sphincter, and traditional surgeries often lead to loss of anal function.
- The modified Transanal opening of the intersphincteric space (TROPIS) procedure effectively treats these fistulas while preserving anal sphincter function, minimizing the risks associated with conventional methods.
- A recent case showed successful results with the modified TROPIS, as the patient experienced a full recovery and normal anal function after 17 months, demonstrating its potential as a preferred treatment option.
Modified posterior pelvic exenteration combined with ileocecal resection for locally advanced endometrial cancer.
J Gynecol Oncol
September 2024
Department of Gynecology, Kitasato University School of Medicine, Sagamihara, Japan.
There are several retrospective studies which have suggested that optimal cytoreductive surgery for stage IV endometrial cancer improves survival [1-3]. In addition, some investigators have reported that achieving maximal cytoreduction to a visibly disease-free outcome in the abdominal cavity for endometrial cancer with distant metastases can extend patients' survival [4]. Due to the anatomic proximity of the rectosigmoid colon to the female pelvic organs and its involvement in locally advanced endometrial cancer, an en bloc resection of the uterus, adnexa, and rectosigmoid, also known as a modified posterior pelvic exenteration (MPPE), is performed to achieve optimal cytoreduction [5,6].
View Article and Find Full Text PDFModified transanal minimally invasive surgery procedure for an ultralow rectal lesion-A video vignette.
Colorectal Dis
October 2024
Hamad Medical Corporation, Doha, Qatar.
Comparative Efficacy and Acceptability of Endoscopic Methods for Rectal Neuroendocrine Neoplasms with Low Malignant Potential: A Network Meta-analysis.
Turk J Gastroenterol
June 2024
Department of Gastroenterology, Yongchuan Hospital, Chongqing Medical University, Chongqing, China.
Background/aims: Although endoscopic resection is an effective treatment of rectal neuroendocrine neoplasms (R-NENs) with low malignant potential, there is no consensus on the most recommended endoscopic method. This study aimed to assess the efficacy and acceptability of different endoscopic treatments for R-NENs with low malignant potential.
Materials And Methods: We searched databases for studies on treatments of R-NENs using endoscopic resection.
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